The nurse is caring for a client who is ordered a sentinel lymph node biopsy. The physician explained the procedure and desired outcome. Which statement, made by the client, indicates a need for further instruction?
A) The procedure allows for an understanding of the spread of cancer cells.
B) The procedure allows for conservation of breast tissue.
C) The procedure removes all cancer from the body.
D) The procedure includes minimal surrounding tissue damage.
C
Feedback:
Sentinel lymph node mapping involves identifying the first (sentinel) lymph nodes through which the breast cancer cells would spread to regional lymph nodes in the axilla. Validating the lack of lymph node metastasis allows the surgeon to preserve more breast tissue, axillary tissue and chest muscle. Further instruction would be needed to explain that the sentinel lymph node biopsy does not remove cancer from the body.
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